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Individual

MRS. MICHELLE R BIRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CST/CFA

Contact information

Practice address
3 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 424-3400
(870) 424-4121
Mailing address
3 MEDICAL PLZ, MOUNTAIN HOME, AR 72653-2918
(870) 424-3400
(870) 424-4121

Taxonomy

Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
118067
AR

Other

Enumeration date
02/04/2010
Last updated
02/04/2010
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